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<table width="98%" border="1" align="center" cellpadding="0" cellspacing="0" class="tit_tbale center">
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    <td width="68%" class="style1"><p align="center" ><strong>Contract Number and Contract Title</strong></p></td>
    <td width="30%" class="style1"><p align="center" class="style3" >Permit to Lift <br />
    吊運許可證</p></td>
  </tr>
</table>

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    <td class="style1 bg_yellow"><p align="center" ><strong><u>Re-issue</u></strong><u> </u>if significant changes in<u> </u><strong><u>Location</u></strong><u> </u><strong><u>of</u></strong><u> </u><strong><u>the</u></strong><u> </u><strong><u>Lift,Nature</u></strong><u> </u><strong><u>of</u></strong><u> </u><strong><u>the</u></strong><u> </u><strong><u>Lift</u></strong><u> </u><strong>or</strong><u> </u><strong><u>Weather</u></strong><u> </u><strong><u>Condition</u></strong> <br />
    如<em><strong><u>吊運位置</u></strong></em> ,<em><strong><u>吊運性質</u></strong></em>, 或 <em><strong><u>天氣狀況</u></strong></em>有重大變動 , 必须<em><strong><u>重新簽發</u></strong></em></p></td>
  </tr>
  <tr>
    <td class="style1"><p ><strong>III.Ground Conditions Review 地質評估</strong></p></td>
  </tr>
  <tr>
    <td class="style1"><table width="98%" border="0" align="center" cellpadding="0" cellspacing="0">
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        <td>Check Item 檢查項目</td>
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        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
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            <td>1)</td>
            <td><p>Geound conditions suitable for supporting </p>
              <p>above crane 地面適合支撐上述起重機</p></td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if {$data['地面適合支撐上述起重機'] |default=false}}checked{/if} /></td>
            <td><p class="style5">
              Yes</p>
              <p><span class="style5">是</span><br />
                </p></td>
            <td><input type="checkbox" name="checkbox102" value="checkbox" {if {$data['地面適合支撐上述起重機']??false==false}}checked{/if} /></td>
            <td class="style5">              <p>No</p>
              <p>否</p></td>
            <td class="style5"><p>Remarks</p>
              <p>備註：{$data['地面適合支撐上述起重機備註']|default=''}</p></td>
          </tr>
          <tr>
            <td>2)</td>
            <td><p>Safe distances with other trenches/slopes(Flg.4)</p>
              <p>與其他泥坑/斜坡保持安全距離(圖4) </p></td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if {$data['與其他泥坑/斜坡保持安全距離圖4']??false==false}}checked{/if} /></td>
            <td class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td><input type="checkbox" name="checkbox102" value="checkbox" {if {$data['與其他泥坑/斜坡保持安全距離圖4']??false==false}}checked{/if} /></td>
            <td class="style5"><p>No</p>
                <p>否</p></td>
            <td class="style5"><p>Remarks</p>
                <p>備註：{$data['斜坡保持安全距離圖4備註']|default=''}</p></td>
          </tr>
          <tr>
            <td>3)</td>
            <td>No underground utilities沒有任何地下設施 </td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if {$data['沒有任何地下設施']??false==false}}checked{/if} /></td>
            <td class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td><input type="checkbox" name="checkbox102" value="checkbox" {if {$data['沒有任何地下設施']??false==false}}checked{/if} /></td>
            <td class="style5"><p>No</p>
                <p>否</p></td>
            <td class="style5"><p>Remarks</p>
                <p>備註：{$data['沒有任何地下設施備註']|default=''}</p></td>
          </tr>
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            <td colspan="7"><p>I HAVE ASSESSED THE GROUND CONDITION AND IT IS SUITABLE FOR SUPPORTING THE ABOVE LIFTING OPERATION.</p>
              <p>本人評估地面狀況後認為土地狀況適合支撐上述吊運工作。 </p></td>
            </tr>
        </table></td>
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        <td><span class="style5">Conclusion結論</span> Recommended for Lifting 建議進行吊運
          <input type="checkbox" name="checkbox103" value="checkbox" {if {$data['建議進行吊運']??false==false}}checked{/if} />
          <span class="style5">Yes 是</span>
          <input type="checkbox" name="checkbox104" value="checkbox" {if {$data['建議進行吊運']??false==false}}checked{/if} />
          <span class="style5">No 否 Remarks備註：</span>{$data['備註']|default=''}</td>
      </tr>
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        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
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            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
          <tr>
            <td><p>Engineer / Authorized Forman ： </p>
              <p>工程師/已委任管工 </p></td>
            <td><p align="center">{$data['工程師/已委任管工姓名']|default=''}<br />
              Name  姓名</p></td>
            <td><p align="center">{$data['工程師/已委任管工簽署']|default=''}<br />
              Signature 簽署</p></td>
            <td><p align="center">{$data['工程師/已委任管工日期']|default=''}<br />
              Date日期</p></td>
          </tr>
        </table></td>
      </tr>
      <tr>
        <td><p>If in doubt, stop the crane operation and consult with Geo-technical Engineer.</p>
          <p>如有任何不確定性，停止起重機操作及向地質工程師咨詢。</p></td>
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    </table></td>
  </tr>
  <tr>
    <td class="style1"><p ><strong>IV</strong><strong>.</strong> <strong>Lifting Supervisor 吊運監督</strong></p></td>
  </tr>
  <tr>
    <td class="style1"><table width="98%" border="0" align="center" cellpadding="0" cellspacing="0">
      <tr>
        <td>Check Item 檢查項目</td>
      </tr>
      <tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td width="2%">1)</td>
            <td width="64%"><p>With Valid certificates(Work Crew,*Lifting Gear and Lifting Appliance)</p>
              <p>持有有效證書(工作隊伍，*吊具及起重裝置)</p>
              <p>*Please record lifting gear ID and SWL 請列明道具標號及安全負重 </p></td>
            <td width="3%"><input type="checkbox" name="checkbox10" value="checkbox" {if {$data['持有有效證書工作隊伍，*吊具及起重裝置']??false==false}}checked{/if} /></td>
            <td width="3%" class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td width="3%" class="style5"><input type="checkbox" name="checkbox102" value="checkbox" {if {$data['持有有效證書工作隊伍，*吊具及起重裝置']??false==false}}checked{/if} /></td>
            <td width="3%" class="style5"><p>No</p>
                <p>否</p></td>
            <td width="12%" class="style5"><p>Remarks</p>
              <p>備註：{$data['持有有效證書工作隊伍，*吊具及起重裝置備註']??''}</p></td>
          </tr>
          <tr>
            <td>a)</td>
            <td colspan="6"><table width="100%" border="0" cellspacing="0" cellpadding="0">
              <tr>
                <td><p>Lifing Appliance</p>
                  <p>起重裝置 </p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox105" value="checkbox" />
                </p>
                  <p align="center">Form 1</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox1052" value="checkbox" />
                </p>
                  <p align="center">Form 2</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox1053" value="checkbox" />
                </p>
                  <p align="center">Form 3</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox1054" value="checkbox" />
                </p>
                  <p align="center">Form 4</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox1055" value="checkbox" />
                </p>
                  <p align="center">Form 5</p></td>
              </tr>
            </table></td>
          </tr>
          <tr>
            <td>b)</td>
            <td colspan="6"><table width="100%" border="0" cellspacing="0" cellpadding="0">
              <tr>
                <td colspan="2"><p align="center">Lifting Gear</p>
                  <p align="center">吊具</p></td>
                <td><p align="center">Form 6</p></td>
                <td><p align="center">Form 7</p></td>
              </tr>
              <tr>
                <td>LIfting gear ID<br />
                  吊具編號：___________________</td>
                <td><p>SWL</p>
                  <p>安全負重：___________________</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox10534" value="checkbox" />
                </p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox10533" value="checkbox" />
                </p></td>
              </tr>
              <tr>
                <td>LIfting gear ID<br />
                  吊具編號：___________________</td>
                <td><p>SWL</p>
                    <p>安全負重：___________________</p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox10535" value="checkbox" />
                </p></td>
                <td><p align="center">
                  <input type="checkbox" name="checkbox10532" value="checkbox" />
                </p></td>
              </tr>
            </table></td>
          </tr>
          <tr>
            <td>2)</td>
            <td><p>Out-rigger fully extended provided witdh base plate(min.3 times larger)</p>
              <p>支撐腳完全伸出及有提供底墊(最少3倍大) </p></td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if $data['支撐腳完全伸出及有提供底墊最少3倍大']??false == true}checked{/if} /></td>
            <td class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td class="style5"><input type="checkbox" name="checkbox102" value="checkbox" {if $data['支撐腳完全伸出及有提供底墊最少3倍大']??false == false}checked{/if} /></td>
            <td class="style5"><p>No</p>
                <p>否</p></td>
            <td class="style5"><p>Remarks</p>
                <p>備註：{$data['支撐腳完全伸出及有提供底墊最少3倍大備註']??''}</p></td>
          </tr>
          <tr>
            <td>3)</td>
            <td><p>Arranged suitable lifting crew(Rigger/Signaller and Lifting Supervisor)</p>
              <p>已安排合適吊運人員(索具工/訊號員及吊運監督)</p></td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if $data['已安排合適吊運人員索具工/訊號員及吊運監督']??false == true}checked{/if} /></td>
            <td class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td class="style5"><input type="checkbox" name="checkbox102" value="checkbox" {if $data['已安排合適吊運人員索具工/訊號員及吊運監督']??false == false}checked{/if} /></td>
            <td class="style5"><p>No</p>
                <p>否</p></td>
            <td class="style5"><p>Remarks</p>
                <p>備註：{$data['已安排合適吊運人員索具工/訊號員及吊運監督備註']??''}</p></td>
          </tr>
          <tr>
            <td>4)</td>
            <td><p>Fence off the crane operating zone and/or assign banksman</p>
              <p>已圍封起重機操作區及/或提供看守者 </p></td>
            <td><input type="checkbox" name="checkbox10" value="checkbox" {if $data['已圍封起重機操作區及/或提供看守者']??false == false}checked{/if} /></td>
            <td class="style5"><p> Yes</p>
                <p>是<br />
              </p></td>
            <td class="style5"><input type="checkbox" name="checkbox102" value="checkbox" {if $data['已圍封起重機操作區及/或提供看守者']??false == false}checked{/if} /></td>
            <td class="style5"><p>No</p>
                <p>否</p></td>
            <td class="style5"><p>Remarks</p>
                <p>備註：{$data['已圍封起重機操作區及/或提供看守者備註']??''}</p></td>
          </tr>

        </table></td>
      </tr>
      <tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td><p>Overlapping Zone</p>
              <p>重疊吊運區(Part A) </p></td>
            <td><input type="checkbox" name="checkbox105355" value="checkbox" /></td>
            <td><p>Tandem Lifting</p>
              <p>複核吊運(Part B)</p></td>
            <td><input type="checkbox" name="checkbox105354" value="checkbox" /></td>
            <td><p>Complex Lifting</p>
              <p>複雜吊運(Part C) </p></td>
            <td><input type="checkbox" name="checkbox105353" value="checkbox" /></td>
            <td><p>General Lift</p>
              <p>一般性吊運</p></td>
            <td><input type="checkbox" name="checkbox105352" value="checkbox" /></td>
          </tr>
        </table></td>
      </tr>
      <tr>
        <td>I HAVE ASSESSED THE ABOVE PLANNED LIFTING OPERATION. I AUTHORISE THE LIFT(S) TO BE PROCEEDED AND I WILL SUPERVISE AND COORDINATE THE LIFTING OPERATION ON SITE. </td>
      </tr>
      <tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
          <tr>
            <td><p>Lifting Supervisor:</p>
                <p>吊運監督 </p></td>
            <td><div align="center">{$data['吊運監督姓名']??''}<br />
              Name  姓名</div></td>
            <td><div align="center">{$data['吊運監督簽署']??''}<br />
              Signature 簽署</div></td>
          </tr>
        </table></td>
      </tr>
      <tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td><p>In force from:</p>
              <p>有效期： {$data['有效期：']??''}</p></td>
            <td><p>Date</p>
              <p>日期：{$data['日期：']??''}</p></td>
            <td><p>Time</p>
              <p>時間：{$data['時間：']??''}</p></td>
          </tr>
        </table></td>
      </tr>
      <tr>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td>&nbsp;</td>
      </tr>

    </table></td>
  </tr>
</table>
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